Organization
BLOUNT DISCOUNT PHARMACY INC
Active
Other names
Blount Discount Pharmacy - West
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ODUM (PRESIDENT)
(865) 681-0520
Entity
Organization
Contact information
Practice address
131 MONTGOMERY LN, MARYVILLE, TN 37803-5649
(865) 681-0520
(865) 681-8226
Mailing address
131 MONTGOMERY LN, MARYVILLE, TN 37803-5649
(865) 681-0520
(865) 681-8226
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3160
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452854
—
TN
01
—
2092172
PK
—
Enumeration date
06/20/2006
Last updated
04/24/2026
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